ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
A newborn infant with a cleft lip and palate.
Question 1 of 5
The nurse is caring for a newborn infant with a cleft lip and palate. Which of the following is the FIRST priority nursing goal when caring for this infant?
Correct Answer: D
Rationale: Establishing adequate feeding is the priority to ensure nutrition and growth, as cleft lip and palate can hinder effective sucking and feeding.
Extract:
A 2-year-old child with second and third-degree burns scheduled for a wound dressing change, anxious and tachycardic.
Question 2 of 5
A 2-year-old child admitted to a burn unit with second and third-degree burns is scheduled for another wound dressing change. The child is anticipating the painful procedure and is anxious and tachycardic as the time approaches. The nurse recognizes that which of the following is likely?
Correct Answer: D
Rationale: A 2-year-old is likely anxious and tachycardic due to anticipated pain from the dressing change, a common fear in young children undergoing painful procedures.
Extract:
A child with asthma prescribed an albuterol inhaler with a spacer.
Question 3 of 5
A nurse is caring for a child with asthma who is prescribed to use an albuterol inhaler with a spacer. The parents ask how albuterol helps the child's breathing. Which of the following responses should the nurse include?
Correct Answer: A,C,D
Rationale: Albuterol relaxes airway muscles to open airways, reduces wheezing, and relieves coughing and shortness of breath, but does not thin mucus.
Extract:
An 18-month-old with high fever, coughs hard, and has a runny nose; a one-year-old with a slight fever, a rash, and green secretions.
Question 4 of 5
Which child requires urgent care?
Correct Answer: A
Rationale: High fever and hard coughing in an 18-month-old suggest a serious respiratory infection, requiring urgent care over a one-year-old's milder symptoms.
Extract:
A 12-month-old with a weak cry, pale complexion, decreased breath sounds, retractions, and an oxygen saturation of 93%; a 5-year-old speaking in full sentences, pink complexion, bilateral wheezing, and an oxygen saturation of 93%; a 16-year-old speaking in short phrases, wheezing, sitting upright, and an oxygen saturation of 93%; a 9-year-old who is quiet, pale, sitting on his father's lap, bilateral wheezing, and an oxygen saturation of 93%.
Question 5 of 5
In the Emergency Department, four children are awaiting treatment for respiratory illnesses. Given that only one treatment room is available, which child should be prioritized based on the assessment findings?
Correct Answer: A
Rationale: The 12-month-old's weak cry, pallor, decreased breath sounds, and retractions indicate severe respiratory distress, requiring priority treatment.